James Dewayne Willaford, LDO
James Dewayne Willaford, LDO is an Optician in Valdosta, Georgia. Practices as a sole proprietor. Licensed in Florida and Georgia.
- Licensed in
- FL, GA
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
3274 Inner Perimeter RdValdosta, GA 31602-1073
Phone: (229) 590-8680
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 1550 (GA) |
|---|---|
| Optician | Taxonomy 156FX1800X · Licence 6077 (FL) |
Record details
| NPI number | 1770338568 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LDO |
| Sole proprietor | Yes |
| NPI enumerated | April 23, 2024 |
| Last updated in NPPES | April 23, 2024 |
| Certification date | April 23, 2024 |
| Mailing address | 9126 Moultrie Hwy, Quitman, GA 31643-4533 |
Other providers in Valdosta
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Autumn Tierra Davis, LDO
450 Norman Dr, Valdosta, GA 31601-7708 · (229) 244-9118
-
Antonio Uriah Jones
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-
Wal-Mart Stores East, LP
3274 Inner Perimeter Rd, Valdosta, GA 31602-1073 · (229) 253-0312
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Wal-Mart Stores East, LP
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